{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:19:04Z","timestamp":1787847544877,"version":"build-2784847793"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Assessment of pain using pain scales is essential. In the Numeric Rating Scale (NRS), patients are asked to score their pain intensity on a scale from 0 to 10 (10- worst pain). This requires some abstract thinking by the patient, also the pain scores (PS) may not essentially communicate the patients\u2019 need for more analgesia. We planned a study to evaluate the change in patients\u2019 self-assessed PS after understanding clinical interpretation of the NRS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This prospective study was registered after approval from our hospital ethics board. Sample size estimated for the trial was 360 patients. All postoperative patients were recruited after informed consent. Patients having prolonged stay in Intensive Care Unit (more than 48 h), or those who underwent emergency surgeries were excluded. During Acute Pain Service (APS) rounds, patients were asked to rate their PS on the NRS. This was followed by a briefing about the clinical interpretation of the scale, and the patients were asked to re score their pain using the same scale. The change in pain severity was compared using Chi-square test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Following explanation, a change in severity was seen for PS at rest [\n                      <jats:italic toggle=\"yes\">X<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      (9, N- 360) = 441,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001] and at movement [X\n                      <jats:sup>2<\/jats:sup>\n                      (9, N- 360) = 508,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001]. Overall, a change in PS severity was seen in 162 patients (45%). A decrease and an increase in the severity of pain was seen in 119 and 41 patients respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Explaining the clinical interpretation of PS on a NRS does lead to a change in patients\u2019 self-assessed PS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_130_21","type":"journal-article","created":{"date-parts":[[2021,3,13]],"date-time":"2021-03-13T07:08:10Z","timestamp":1615619290000},"page":"216-220","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Influence of interpretation of pain scores on patients\u2019 perception of pain"],"prefix":"10.4103","volume":"65","author":[{"given":"Sumitra G","family":"Bakshi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akanksha","family":"Rathod","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Supriya","family":"Salunkhe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-7-20240902","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.apnr.2013.11.001","article-title":"Healthcare professionals\u2019 perceptions of the use of pain scales in postoperative pain assessments","volume":"27","author":"Wikstr\u00f6m","year":"2014","journal-title":"Appl Nurs Res"},{"key":"R2-7-20240902","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1111\/j.1530-7085.2003.03034.x","article-title":"The numeric rating scale for clinical pain measurement: A ratio measure?","volume":"3","author":"Hartrick","year":"2003","journal-title":"Pain Pract"},{"key":"R3-7-20240902","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1007\/s11606-007-0321-2","article-title":"Accuracy of the pain numeric rating scale as a screening test in primary care","volume":"22","author":"Krebs","year":"2007","journal-title":"J Gen Intern Med"},{"key":"R4-7-20240902","doi-asserted-by":"crossref","first-page":"e32101","DOI":"10.5812\/aapm.32101","article-title":"Validation of a new \u201cobjective pain score\u201d vs. \u201cnumeric rating scale\u201d for the evaluation of acute pain: A comparative study","volume":"6","author":"Tandon","year":"2016","journal-title":"Anesth Pain Med"},{"key":"R5-7-20240902","doi-asserted-by":"crossref","first-page":"3018","DOI":"10.1111\/j.1365-2702.2012.04288.x","article-title":"The diagnostic value of the numeric pain rating scale in older postoperative patients","volume":"21","author":"van Dijk","year":"2012","journal-title":"J Clin Nurs"},{"key":"R6-7-20240902","first-page":"335","article-title":"Evaluation of pain","volume":"50","author":"Joshi","year":"2006","journal-title":"Indian J Anaesth"},{"key":"R7-7-20240902","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1111\/papr.12217","article-title":"The relation between patients\u2019 NRS pain scores and their desire for additional opioids after surgery","volume":"15","author":"van Dijk","year":"2015","journal-title":"Pain Pract"},{"key":"R8-7-20240902","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.ijnurstu.2011.07.009","article-title":"Postoperative pain assessment based on numeric ratings is not the same for patients and professionals: A cross-sectional study","volume":"49","author":"van Dijk","year":"2012","journal-title":"Int J Nurs Stud"},{"key":"R9-7-20240902","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1097\/01.ajp.0000210905.57546.c1","article-title":"The exploration of the establishment of cutpoints to categorize the severity of acute postoperative pain","volume":"22","author":"Dihle","year":"2006","journal-title":"Clin J Pain"},{"key":"R10-7-20240902","doi-asserted-by":"crossref","first-page":"61","DOI":"10.4103\/0970-5333.132841","article-title":"Challenges in pain assessment: Pain intensity scales","volume":"28","author":"Kumar","year":"2014","journal-title":"Indian J Pain"},{"key":"R11-7-20240902","doi-asserted-by":"crossref","first-page":"553","DOI":"10.4103\/0019-5049.104573","article-title":"Utility of numerical and visual analog scales for evaluating the post-operative pain in rural patients","volume":"56","author":"Mudgalkar","year":"2012","journal-title":"Indian J Anaesth"},{"key":"R12-7-20240902","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.ijnurstu.2015.08.007","article-title":"Postoperative patients\u2019 perspectives on rating pain: A qualitative study","volume":"53","author":"van Dijk","year":"2016","journal-title":"Int J Nurs Stud"},{"key":"R13-7-20240902","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1093\/bja\/aer195","article-title":"Determination of moderate-to-severe postoperative pain on the numeric rating scale: A cut-off point analysis applying four different methods","volume":"107","author":"Gerbershagen","year":"2011","journal-title":"Br J Anaesth"},{"key":"R14-7-20240902","first-page":"798","article-title":"Pain: A review of three commonly used pain rating scales","volume":"14","author":"Williamson","year":"2005","journal-title":"J ClinNurs"},{"key":"R15-7-20240902","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.pmn.2006.09.001","article-title":"Determination of clinically meaningful levels of pain reduction in patients experiencing acute postoperative pain","volume":"7","author":"Sloman","year":"2006","journal-title":"Pain Manag Nurs"},{"key":"R16-7-20240902","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1016\/j.ejpain.2011.06.004","article-title":"A prospective analysis of pain experience, beliefs and attitudes, and pain management of a cohort of Danish surgical patients","volume":"16","author":"Lorentzen","year":"2012","journal-title":"Eur J Pain"},{"key":"R17-7-20240902","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1093\/bja\/aen103","article-title":"Assessment of pain","volume":"101","author":"Breivik","year":"2008","journal-title":"Br J Anaesth"},{"key":"R18-7-20240902","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.apnr.2013.10.006","article-title":"Numeric rating scale: Patients\u2019 perceptions of its use in postoperative pain assessments","volume":"27","author":"Eriksson","year":"2014","journal-title":"Appl Nurs Res"},{"key":"R19-7-20240902","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.ijnurstu.2005.11.017","article-title":"Nurses\u2019 response to pain communication from patients: A post-test experimental study","volume":"44","author":"McDonald","year":"2007","journal-title":"Int J Nurs Stud"},{"key":"R20-7-20240902","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1016\/j.jpainsymman.2010.08.016","article-title":"Studies comparing numerical rating scales, verbal rating scales, and visual analogue scales for assessment of pain intensity in adults: A systematic literature review","volume":"41","author":"Hjermstad","year":"2011","journal-title":"J Pain Symptom Manage"},{"key":"R21-7-20240902","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.jemermed.2014.07.039","article-title":"A comparison of three self-report pain scales in adults with acute pain","volume":"48","author":"Bahreini","year":"2015","journal-title":"J Emerg Med"},{"key":"R22-7-20240902","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1097\/00002508-200003000-00005","article-title":"A comparison of pain rating scales by sampling from clinical trial data","volume":"16","author":"Breivik","year":"2000","journal-title":"Clin J Pain"},{"key":"R23-7-20240902","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1097\/AJP.0b013e31824c5d7a","article-title":"How simple can it get?. Measuring pain with NRS items or binary items","volume":"29","author":"Rothaug","year":"2013","journal-title":"Clin J Pain"},{"key":"R24-7-20240902","doi-asserted-by":"crossref","first-page":"2945","DOI":"10.1111\/jocn.15341","article-title":"Comparative evaluations of single-item pain-intensity measures in cancer patients: Numeric rating scale vs.verbal rating scale","volume":"29","author":"Kim","year":"2020","journal-title":"J Clin Nurs"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.IJA_130_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:21:37Z","timestamp":1787844097000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.IJA_130_21"}},"subtitle":["A prospective study"],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/ija.ija_130_21","relation":{},"ISSN":["0019-5049"],"issn-type":[{"value":"0019-5049","type":"print"}],"subject":[],"published":{"date-parts":[[2021,3]]}}}